This clinically relevant course brings together 4 leading dysphagia experts to examine current research and best practice when addressing the needs of elderly clients with swallowing disorders. This course will look at these topics relating to dysphagia in the elderly:
Discussion will focus on managing clients with respiratory disorders including COPD and Parkinson's disease. New research on lung volume and its effect on swallowing will be included. Also discussed will be pharmacology and swallowing impairment as well as ethical treatment in end-of-life issues. The recommendation of non-oral feedings will be covered as well as including discussion of when to terminate service with challenging clients. Offered for 0.6 ASHA CEUs – 6 contact hours. Course includes 1 hour related to ethics and speech-language pathology practice.
The content of this online CE course does not focus exclusively on any specific proprietary product or service. Presenter financial and non-financial disclosures may be found in the Presenter & Disclosures area.
Audio with downloadable handout. Audio can be streamed online or downloaded as mp3 files. Course was recorded in front of a live seminar audience in 2011.
Roxann Diez Gross, PhD, CCC-SLP, is a leading expert, accomplished researcher, and frequently invited national and international lecturer. Her areas of expertise include swallowing function, esophageal dysphagia, and management of patients with tracheostomy tubes and speaking valves.
Currently, Roxann is Director of Research at The Children's Institute in Pittsburgh, PA. Prior to this position, she was Director of the Swallowing Disorders Center at the University of Pittsburgh Medical Center and Assistant Professor of Otolaryngology in the School of Medicine. She is now an adjunct assistant professor in the Department of Communication Science and Disorders at the University of Pittsburgh.
Roxann has published several scientific papers and clinical book chapters. Her primary area of research examines interactions between breathing and swallowing in neurologic and respiratory disease. Over the past 7 years, Roxann has expanded her clinical work and research to include non-pathologic forms of esophageal dysphagia.
Financial — Roxann Diez Gross is presenter of online CEU courses by Northern Speech Services; receives royalties.
Financial — Roxann Diez Gross is the author of "Quick Pocket Reference for Tracheostomy Tubes and Speaking Valves" published by Northern Speech Services; receives royalties.
Nonfinancial — Roxann Diez Gross has no relevant nonfinancial relationships to disclose.
Paula Leslie, PhD, FRCSLT, CCC-SLP, is a professor and director of the Doctor of Clinical Science in Medical Speech-Language Pathology. She maintains full clinical licenses in the USA and UK where she is a Specialist Adviser to the Royal College of Speech & Language Therapy in swallowing disorders. She provides support to researchers, and provides continuing education from grassroots to international level and across the health professions on complex clinical decision making, ethics and end of life decisions in vulnerable populations. Her honors include the Honors of the Association Southwestern Pennsylvania Speech-Language-Hearing Association, the American Speech-Language Hearing Association DiCarlo Clinical Achievement Award, the Pennsylvania Speech-Language-Hearing Association Clinical Achievement Award, and Fellow of the Royal College of Speech & Language Therapists (UK).
Financial — Paula Leslie is presenter of online CE courses sponsored by Northern Speech Services; receives royalties.
Nonfinancial — Paula Leslie has no relevant nonfinancial relationships to disclose.
James F. Naas, PhD, CCC-SLP, lectures nationally and internationally to Speech-Language Pathologists on pharmacology and the geriatric population. He practiced Medical Speech Pathology in the acute care environment for over 32 years. Dr. Naas continues his office practice in Owensboro, Kentucky.
Financial — James Naas is author of online CE courses sponsored by Northern Speech Services; receives royalties.
Nonfinancial — James Naas has no relevant nonfinancial relationships to disclose.
Paula A. Sullivan, MS, CCC-SLP, BCS-S, currently is a Senior Speech-Language Pathologist in the Department of Neurology/Speech Section, North Florida/South Georgia Veterans Health System in Gainesville, FL. Paula's clinical expertise and research are focused on swallowing disorders in head and neck cancer and at end-of-life. She has been affiliated with numerous comprehensive cancer centers, including H. Lee Moffitt Cancer Center, Tampa, FL, Sylvester Cancer Center, Miami, FL, and the University of Wisconsin, Madison, WI. Paula also has participated as part of numerous clinical research trials in swallowing.
Paula served as a co-regional primary investigator for the largest controlled, randomized research trial in oropharyngeal dysphagia funded by the National Institutes of Health (Protocol 201). Protocol 201 examined the effectiveness of chin down and thickened liquids in individuals with dementia and Parkinson's disease both with and without dementia. Other research activities include collaborating with Dr. Jeri Logemann on numerous National Cancer Institute clinical swallowing protocols in head and neck cancer. Additionally, Paula has published numerous articles, book chapters, and co-authored books, including Swallowing Intervention in Oncology and the Easy-To-Swallow, Easy-To-Chew Cookbook. She also has co-authored multiple national guidelines, directives, and policies relating to oropharyngeal swallowing disorders for both the Veterans Health Administration and the American Speech-Language-Hearing Association (ASHA). She is a board recognized specialist in swallowing and swallowing disorders. Paula is an ASHA Fellow and former coordinator of ASHA's Division 13, Swallowing and Swallowing Disorders. She was named "2013 Clinician of the Year" by the Association of Veterans Affairs Speech-Language Pathologists.
Financial — Paula Sullivan is coauthor of the text, "Easy-To-Swallow; Easy-To-Chew Cookbook"; receives royalty payments.
Financial — Paula Sullivan is presenter of online CE courses sponsored by Northern Speech Services; receives royalties.
Nonfinancial — Paula Sullivan has no relevant nonfinancial relationships to disclose.
This program is offered for 0.6 ASHA CEUs (Intermediate Level; Professional Area).
ASHA CEUs: NSS online courses are registered with ASHA and are offered for ASHA CEUs. The number of ASHA CEUs is noted above. Note that 0.1 ASHA CEU = 1 contact hour = equals 1 CEE.
ASHA CE Registry: During the enrollment process, if you select to receive ASHA credit for this course and if you provide your ASHA number, NSS will automatically submit your CEU information to the ASHA CE Registry after successful course completion (80% on post test). This submission happens once per month, during the first week of the month. For example, if you complete your course on November 7th, NSS will submit all November online course CEUs to ASHA during the first week of December. When ASHA inputs the information into their database, they will mark the course as completed on the last day of the month in which it was completed, so November 30th using this example. The certificate of completion available for you to print immediately, however, will reflect the actual completion date, November 7th in this example. Due to ASHA processing procedures please allow 2-3 weeks, from the submission date, for the course to appear on your ASHA transcript.
ASHA CEUs: Attendees must meet at least one of the following conditions in order to be eligible to earn ASHA CEUs:
If an attendee is not an ASHA member or CCC holder but meets any of the above criteria, they may inform the ASHA CE Registry of their eligibility by visiting this site.
Licensing Boards: Most state licensing boards DO accept CEUs earned online (usually classified as home-study credits). Some state boards do, however, place a limit to the number of credits that can be earned via home study/online courses. For the most current information, we suggest that you contact your licensing board or agency to verify acceptance policies and/or any credit limits related to home-study courses prior to registering for this course.
Additional accrediting agencies by which Northern Speech is an approved CE provider:
Course Completion Timeframe: You have unlimited time to complete this online course. You may log off and log on as you wish in order to complete all sections of this course.
Content Access: Access to course materials and content does not expire, even after completing the post test. You may continue to review course material by logging into your NSS account, clicking the E-Courses tab, and then viewing your desired course.
Certificate of Completion: On successful completion of the post test (80%), a certificate will be immediately available for download and/or printing. This certificate will include your name, date of completion (based on the Eastern Standard Time Zone), and number of contact hours (CEUs / CEEs).
ASHA CE Registry Submission: During the enrollment process, if you select to receive ASHA credit for this course and if you provide your ASHA number, NSS will automatically submit your CEU information to the ASHA CE Registry after successful course completion (80% on post test). This submission happens once per month, during the first week of the month. For example, if you complete your course on November 7th, NSS will submit all November online course CEUs to ASHA during the first week of December. When ASHA inputs the information into their database, they will mark the course as completed on the last day of the month in which it was completed, so November 30th using this example. The certificate of completion available for you to print immediately, however, will reflect the actual completion date, November 7th in this example. Due to ASHA processing procedures please allow 2-3 weeks, from the submission date, for the course to appear on your ASHA transcript.
Purchase Orders: Purchase orders are NOT accepted when registering for online courses. Payment must be made online in the form of a credit or debit card payment.
More FAQ: Please click here.
What is an Online Course? Our Online Courses include text, audio, or video formats and are offered for ASHA CEUs. Unlike a webinar, which requires participants to be logged on and at a computer at specific times, our Online Courses are available to you at any time, from any computer, via your Northern Speech account. You may work at your own pace and start and stop your course as you wish. Your course will conclude with a short post test. On successful completion of the post test (>80%) a printable certificate of completion is presented to you.
Receiving CEUs: Northern Speech is an ASHA CE Provider and our online courses are registered with ASHA and offered for CEUs. Please note that successful completion of the online post test is required prior to the awarding of CEUs. Please contact your state licensing board for acceptance policies related to online CEUs.
Registering for an online course: You may browse all online courses by clicking the Continuing Education tab above, then Online Courses. Once you find a course, click Enroll Now, and you will be asked to either log into your existing Northern Speech account or create a new online account. Once you’ve entered your account information and provided your credit card payment, your course will be immediately available to you.
Accessing your purchased course or returning to a purchased course: You will be able to access your online course by logging into your Northern Speech account and then clicking the Online Courses tab on your profile screen. Click View next to the course you’d like to start or to resume. From there, proceed through the course sections until you are ready to complete the post test. You do not have to complete your course all at once. You may log on and off as you wish.
Course completion timeframes: Nearly all our courses provide for unlimited time to complete your course. You may work at your own pace and start and stop your course as you wish. Any access limitations will be clearly noted on the individual course description page.
Course content expiration: Nearly all our courses provide for continued access to course content and materials, even after completion of the post test. Any access limitations will be clearly noted on the individual course description page.
Testing requirements: Each online course concludes with a post test consisting of multiple choice or true & false questions. Scores of 80% or greater are required for successful course completion and awarding of CEUs. You may revisit course materials and retest as needed to achieve a passing score.
Certificate of completion: A certificate displaying participant name, date of course completion (based on the Eastern Standard Time Zone), and the number of contact hours earned is presented to participants once a score of 80% or greater is earned on the post test. Please note that CEUs are awarded on the date of successful test completion, not the date of course enrollment. Please ensure that you successfully complete the post test prior to any licensure renewal dates.
ASHA CE Registry: Northern Speech will provide CEU information to the ASHA CE Registry for you. At the time of course enrollment if you select that you are taking the course for ASHA Credit and if you provide your ASHA Member Number, Northern Speech will automatically submit your hours to the CE Registry after you successfully complete the post test. Please allow 45-60 days from the date of course completion for your hours to appear on your CE transcript. Note that ASHA will record your CEUs as earned on the last day of the month in which you completed your course. For example, if you completed your course on Nov 7, the CE Registry will reflect course completion as Nov 30.
Number of CEUs offered: We offer courses from 1 to 21 contact hours. Each course will note the number of CEUs offered. Please note that 0.1 CEU = 1 contact hour = 1 CEE.
State licensing boards and online CEUs: NSS is an ASHA CE Provider and most state licensing boards DO accept CEUs earned online (usually classified as home-study credits). Some boards do, however, place a limit to the number of CEUs that can be earned via home study/online courses. For the most current information, we suggest that you contact your licensing board or agency to verify acceptance policies and/or any CEU limits related to home-study courses prior to enrolling in an online course.
Course formats: Our course formats include: text, audio, video, and PowerPoint with author narration. Each course will note the format on the course description page.
Course handouts: Most of our non-text online courses provide a link to download the accompanying handout.
Purchase orders: Purchase orders are NOT accepted when registering for online courses. Payment must be made online in the form of a credit or debit card payment.
Group discounts: Groups of 3 or more are eligible for a 20% discount on each registration on most of our online courses. To receive this discount, registrations need to be processed together via the "Group Rates" tab on the Online Course of your choice.
Computer requirements: For our online courses to function best, we recommend that you update your computer to include the newest version of your Internet browser (Safari, Chrome, Internet Explorer, etc) and newest version of Flash Player. Also a high-speed Internet connection is recommended (cable or DSL). Speakers or headphones will be required for many of our courses as many contain audio components.
Course Cancellation Policy: A purchased online course can be exchanged, refunded, or transferred to another individual if contact is made with NSS (via phone or email) within 30 days of purchase and the course materials have not been viewed or downloaded.
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"I liked the information about medication and parkinson's disease. It was a very functional course." – C.B. (Dec. 2017)
"Knowledgeable speakers, easily kept my attention, and excellent information." – A.W. (Dec. 2017)
"I enjoyed the section on Evidence Based Practice in the Treatment of Dysphagia in Parkinson's Disease the most. I appreciated the way the course was divided into sections which made it easier to complete in intervals." – P.S. (Nov. 2017)
"I appreciated the discussion on pharmacological effects on dysphagia as well as the connection between breathing and swallowing. I liked the clear way the speakers presented the information." – L.M. (Aug. 2017)
"All of the topics gave very good information that is relevant to my practice." – L.H. (July 2017)
"It will all be beneficial in my daily practice. It was informative and easy to understand." – S.B. (June 2017)
"I believe this course offers sound information and content related to treating dysphagia in the elderly. The presenters are engaging and very knowledgeable citing personal experiences which demonstrate that they still are very involved in clinical treatment. It was an excellent refresher and I did learn some new information as well." – T.D. (May 2017)
"Great speakers with very useful information." – A.P. (Apr. 2017)
"I really found that the palliative care discussions as well as the discussion on subglottic pressure to be really beneficial. I liked that all of the information was something I could apply in practice." – M.D. (Mar. 2017)
"I found the topics of respiratory function and pharmacology to be most beneficial. The presenters were all very good communicators - very thorough." – L.P. (Dec. 2016)
"The discussion on subglottic air pressure and various techniques for improving such pressure before the swallow very helpful. I've actually applied those principles multiple times with trach patients since listening to the course." – C.B. (Dec. 2016)
"I found much of the presented information to be informative, particularly the information re: respiratory involvement in dysphagia and dysphagia related to Parkinson's. The information about subglottal pressure was very interesting, too." – L.P. (Dec. 2016)
"I really enjoyed all of the topics. The pharmacology section was beneficial. The presenters were very knowledgeable." – H.M. (Nov. 2016)
"It was clear and relevant to current trends and practices. The treatment of PD and rehabilitative focus along with compensatory techniques were excellent discussions." – K.B. (Nov. 2016)
"The end of life and dysphagia portion was very beneficial to me. I work in skilled nursing, and we have a large number of residents who are on palliative care. She had good ideas for discussion in order to help families and patients discuss what is best for their situation." – A.B. (Oct. 2016)
"Dr. Naas's portion will be especially useful to my practice in Home care, increasing my awareness of pharmacological aspect. All the speakers were excellent and kept my interest." – P.K. (Sept. 2016)
"Almost everything was beneficial! Specifically the incidence of dysphagia in patients with PD and specifics regarding oral and pharyngeal phase as well as saliva management. I really liked Paula Sullivan's lecture; it applied well to my position in acute care." – K.B. (July 2016)
"Everything in this e-course was helpful and clear. I needed the review of cuff inflation so that was great. This lecture was in a good format, and the powerpoint was done very well also. It was a great course." – B.C. (June 2016)
"The discussion on dysphagia treatment for patients at the end of life was most helpful. I liked that the course had multiple topics within one course. However, I expected more treatment ideas and case studies." – A.W. (May 2016)
"I liked the respiratory system and swallowing relationship. The part on expository muscle training was really useful." – L.K. (Mar. 2016)
"I found these three topics to be most helpful: 1) Research references 2) Treatment strategies 3) Medication issues and timing of administration." – C.K. (Jan. 2016)
"The management of Parkinson's was a very beneficial topic. The whole course was very informative." – S.H. (Jan. 2016)
"End of life considerations in relationship to ethical choices was a really useful discussion. Good presentation." – A.B. (Jan. 2016)
"I used information from the Parkinson's discussion the same week I completed that section. All of the information was well planned and the speakers were interesting and informative." – T.D. (Jan. 2016)